Individual
KELLY KEYES ZWEIFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETITIAN
Contact information
Practice address
1000 GREG KRUCHECK AVE, NOME, AK 99762-0966
(907) 443-3480
(907) 443-3723
Mailing address
1000 GREG KRUSCHEK AVE, NOME, AK 99762-0966
(907) 443-3480
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
165
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165
STATE OF ALASKA
AK
Enumeration date
02/15/2007
Last updated
03/09/2017
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